Organization
1717 SENIOR LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS SMITH (PRESIDENT)
(317) 819-3205
Entity
Organization
Contact information
Practice address
1703 WEST 86TH STREET, INDIANAPOLIS, IN 46260
(317) 876-2916
Mailing address
1703 WEST 86TH STREET, INDIANAPOLIS, IN 46260
(317) 876-2916
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/15/2017
Last updated
07/21/2022
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